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<p>The noble Lord Carter of Coles published a report last year on the provision of
aseptic medicines, including some critical care medicines, in England. Recommendations
included setting up a network of hub and spoke facilities to prepare ready to administer
medicines, providing guidance on standard injectable medicines, and training for aseptic
pharmacy staff. NHS England and NHS Improvement are setting up a National Health Service
aseptic services transformation implementation board to co-ordinate the implementation
of these recommendations.</p><p>The recommended changes will improve patient safety
by reducing errors in compounding and administering these medicines. Errors in these
medicines are not currently specifically tracked but the report recommends that the
NHS begins tracking and reducing them.</p><p>The creation of regional hub and spoke
services could release the equivalent of over 4,000 whole time equivalent nurses each
year. This is based on the time taken for nurses to prepare the 14 most commonly used
aseptic medicines. The development of a hub and spoke system will offer opportunities
for production at scale, relieving pressure on hospital pharmacies.</p>
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